Organization
MISSOURI VALLEY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ANN KERGER (CORPORATE SECRETARY)
(712) 642-4136
Entity
Organization
Contact information
Practice address
214 E ERIE ST, MISSOURI VALLEY, IA 51555-1533
(712) 642-4136
(712) 642-3491
Mailing address
214 E ERIE ST, MISSOURI VALLEY, IA 51555-1533
(712) 642-4136
(712) 642-3491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
06/30/2008
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